{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:45:51Z","timestamp":1792133151716,"version":"4.4.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X26105662_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Outline our process in creating an efficient surveillance system through increased automation of detecting hospital-associated Staphylococcus aureus bacteremia (HA-SAB). To describe the rate and attributable source of HA-SAB over time at our institutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105662_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We developed an algorithm for extracting cases that met the temporal case definition of hospital-onset Staphylococcus aureus bacteremia (HO-SAB) through our electronic medical record system. The expanded temporal definition included both instances of S. aureus bacteremia (SAB) if occurring&gt;48 hours after admission (HO-SAB Current Admission) or if admitted \u226448 hours but had a previous admission within the past 4 weeks (HO-SAB Previous Admission). Following extraction, clinical review was performed to ascertain if the algorithm extracted HO-SAB cases were hospital-associated SAB (HA-SAB) versus community-associated SAB (CA-SAB) and source(s) of infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105662_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over a 5-year period from 2020 to 2025, the rate of HA-SAB was 15.2\u201326.2 per 10,000 patient admissions and 1.5\u20132.7 per 10,000 patient days. Our automated process screened 5,146 total cases of SAB, and determined that 222 cases (4%) fit the temporal definition of HO-SAB. Of these 222 HO-SAB, we classified 189 (85%) cases as HA-SAB and 33 (15%) as CA-SAB. The most common sources of HA-SAB were central lines (23%) and peripheral IVs (22%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105662_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An automated process is effective at screening cases of SAB. This can improve workflows to enable a sustainable HA-SAB surveillance program as a quality metric for institutions. Our expanded definition of HO-SAB allowed detection and evaluation of an additional 38 (20%) previous admission cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10566","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:00:26Z","timestamp":1792130426000},"page":"1-7","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Automating case extraction and screening for hospital-associated\n                    <i>Staphylococcus aureus<\/i>\n                    bacteremia surveillance in two Canadian hospitals"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3677-9776","authenticated-orcid":false,"given":"Michael","family":"Payne","sequence":"first","affiliation":[{"name":"University of British Columbia"},{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minh T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Prince George Regional Hospital: University Hospital of Northern British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shay-Anne","family":"Daniels","sequence":"additional","affiliation":[{"name":"Vancouver Island Health Authority"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azra","family":"Sharma","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9947-1223","authenticated-orcid":false,"given":"Shayan","family":"Shakeraneh","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan","family":"Alawfi","sequence":"additional","affiliation":[{"name":"Security Forces Hospital in Riyadh: Security Forces Hospital Program"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulaiman","family":"Tabesh","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jany","family":"Chan","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Huang","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Martin","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Chan","sequence":"additional","affiliation":[{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9320-4499","authenticated-orcid":false,"given":"Christopher F.","family":"Lowe","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Leung","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Providence Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"S0899823X26105662_ref18","article-title":"Hospital-onset bacteraemia and fungaemia as a novel automated surveillance indicator: results from four European university hospitals, 2018 to 2022","volume":"30","author":"Aghdassi","year":"2025","journal-title":"Euro Surveill Bull Eur sur les Mal Transm = Eur Commun Dis Bull"},{"key":"S0899823X26105662_ref2","first-page":"e25460","article-title":"Incidence trends and epidemiology of Staphylococcus aureus bacteremia: a systematic review of population-based studies","volume":"14","author":"Hindy","year":"2022","journal-title":"Cureus"},{"key":"S0899823X26105662_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2016.03.003"},{"key":"S0899823X26105662_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2024.06.017"},{"key":"S0899823X26105662_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu508"},{"key":"S0899823X26105662_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.174"},{"key":"S0899823X26105662_ref9","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v50i06a02"},{"key":"S0899823X26105662_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2025.29"},{"key":"S0899823X26105662_ref7","unstructured":"7. UK Health Security Agency. Annual epidemiological commentary: gram-negative, MRSA, MSSA bacteraemia and C. difficile infections, up to and including financial year 2024 to 2025. UK Heal Secur Agency. Preprint posted online 2025."},{"key":"S0899823X26105662_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.03.038"},{"key":"S0899823X26105662_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofz111"},{"key":"S0899823X26105662_ref13","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6809e1"},{"key":"S0899823X26105662_ref15","first-page":"007798","article-title":"Clinically-indicated replacement versus routine replacement of peripheral venous catheters","volume":"1","author":"Webster","year":"2019","journal-title":"Cochrane database Syst Rev"},{"key":"S0899823X26105662_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.259"},{"key":"S0899823X26105662_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.323"},{"key":"S0899823X26105662_ref1","first-page":"405","article-title":"Staphylococcus aureus bacteremia mortality across country income groups: a secondary analysis of a systematic review","volume":"122","author":"Bai","year":"2022","journal-title":"Int J Infect Dis IJID Off Publ Int Soc Infect Dis."},{"key":"S0899823X26105662_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2023-016831"},{"key":"S0899823X26105662_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics11060827"},{"key":"S0899823X26105662_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(21)00206-4"},{"key":"S0899823X26105662_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2015.01.031"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X26105662","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:00:28Z","timestamp":1792130428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X26105662\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,16]]},"references-count":20,"alternative-id":["S0899823X26105662"],"URL":"https:\/\/doi.org\/10.1017\/ice.2026.10566","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}